| NPI | 1255477204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL A VAN HORN Clinical Director 405-842-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 260) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |