| NPI | 1801914064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE EARLETTA FOGLESONG Clinical Director 405-843-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 2970) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |