| NPI | 1801234042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA WARD Owner 405-596-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4722) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |