| NPI | 1871880658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEL BUERSMEYER Owner 405-242-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |