| NPI | 1649796590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA THARP Deputy Executive Director 580-319-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 4157) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2020-05-20 |