| NPI | 1073962569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET WILLIS Owner/RN/Psychologist 918-640-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 566) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |