| NPI | 1316063365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA G. GREEN President 405-842-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 189) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-08-13 |