| NPI | 1982791216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA J BLOOMGARDEN President 405-692-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 1293) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |