| NPI | 1689823973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART R BEASLEY Managing Member 405-341-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 199) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |