| NPI | 1861706822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A MELTON Licensed Counselor 405-612-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 1832) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |