| NPI | 1215147426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH W FOSTER President 918-647-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: OK 15885) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |