| NPI | 1609980937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOUVANNAKAYSONE TUTTON Office Manager 580-224-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 20688) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |