| 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 |