| NPI | 1154726560 |
|---|---|
| Doing Business As | OUPT TISDALE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JONATHAN JOINER Chief Financial Officer 918-660-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |