| NPI | 1912398322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE LEE SCOTT Counselor/President 918-200-9691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5538) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2394) |
| 101YM0800X Counselor, Mental Health (Licence: OK 5538) | |
| Enumeration Date | 2015-02-07 |
| Last Update Date | 2016-04-27 |