| NPI | 1508989153 |
|---|---|
| Former Legal Business Name | CHILDRENS INSTITUTE OF BEHAVIORAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN VAUGHN Psychologist 405-878-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 286) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-06-20 |