| NPI | 1881108975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI FREDERICK Executive Director 918-893-3735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 1239) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |