| NPI | 1225110349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A TILLMAN Clinical Social Worker 918-333-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OK 111) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-11-07 |