| NPI | 1992113955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN J GREENWOOD Clinical Director 405-601-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 835) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK 516) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |