| NPI | 1497571640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SECOR Psychologist 405-889-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |