| NPI | 1841679545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA JOHNSON Owner/Therapist 918-991-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5181) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |