| NPI | 1043590722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA D THOMPSON Owner 405-657-4537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 25776) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2021-02-07 |