| NPI | 1790335057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY LOU SIMPSON Owner 918-693-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2021-01-25 |