| NPI | 1568632776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WALTON Owner 918-779-7637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OK 508) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-06-20 |