| NPI | 1841491214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENDELL ANNE GEE Owner 580-298-5062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 3157) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2010-06-03 |