| NPI | 1740587617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBY ELLA DOUGHTY Clinical Psychologist/Member 405-494-7106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 1117) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2012-12-17 |