| NPI | 1093482697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA DORSEY WHITEMAN Manager 580-695-3753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-09-26 |