| NPI | 1861529745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J CARTER Executive Director 918-335-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: KS 595) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 915) |
| 106H00000X Marriage & Family Therapist (Licence: KS 595) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-08-15 |