| NPI | 1720328545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET WILLIS President 918-488-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: OK 566) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 1600) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |