NPI | 1982923314 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXIS ASHLEY GRANT Lmft Candidate 580-284-8036 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK 1201) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2010-05-25 |
Last Update Date | 2016-06-15 |