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 |