NPI | 1386490803 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA DYER CEO 918-928-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 101Y00000X Counselor |
103K00000X Behavior Analyst | |
106S00000X Behavior Technician | |
207Q00000X Family Medicine | |
208000000X Pediatrics | |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2024-04-25 |
Last Update Date | 2024-04-25 |