| NPI | 1831533421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D VANTUYL Dr. 918-492-6333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 16535) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-06-03 |