| NPI | 1952089328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MARIE BURNSHIRE Therapist 918-671-8229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-13 |