NPI | 1780988725 |
---|---|
Entity Type | Organization |
Authorized Contact | OPHELIA JATTA Administrative Director 405-501-2169 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3935) |
Enumeration Date | 2011-01-05 |
Last Update Date | 2011-01-05 |