| NPI | 1558509679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A. HANSON Registered Agent 918-492-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 2618) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |