| NPI | 1831531789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWONE EVERETT BENNETT Executive Director 405-274-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4904) |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2015-04-14 |