NPI | 1740636661 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLA ROBERTSON Partner 918-973-0434 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 101Y00000X Counselor |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2016-05-10 |
Last Update Date | 2016-05-10 |