| NPI | 1780825158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SPENCER WILSON Psychologist/Managing Member 918-337-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OK 966) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 3199) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |