| NPI | 1124214440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DANIEL CARELLA President/Owner 405-840-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 295) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |