NPI | 1003153313 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNY CARRICK CARTER President 405-801-2840 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1166) |
Enumeration Date | 2013-01-07 |
Last Update Date | 2013-01-07 |