| NPI | 1184961377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADIE WILLMON-HAQUE Licensed Psychologist 405-321-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 1165) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OK 2891) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2014-02-07 |