| NPI | 1013254440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELINE WITJENBURG President 405-292-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OK 1158) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |