| NPI | 1821456211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN MICHAEL BAISLEY Licensed Professional Counselor 918-734-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4835) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |