| NPI | 1770972085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESMOND HARLESS Psychologist 405-714-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO 4105) |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2016-03-15 |