| NPI | 1801929781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DAVID HEANEY Therapist 405-820-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3102) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-11-06 |