| NPI | 1649639550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M HARMON Owner 580-236-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK R0105058) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |