| NPI | 1699704270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C. ANDRUS President 405-604-3170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |