| NPI | 1982073870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI D'ANN HACKNEY Owner/Operator 405-922-9673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 3654) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |