| NPI | 1972836955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS RAY BLACKMAN Psychotherapist/Director 918-647-5395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 3134) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |