| NPI | 1003092479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DALE CARGILL President 405-598-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OK 300) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |