| NPI | 1891005724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CARROLL MAY Member/Manager 580-237-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: OK 685) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |