| NPI | 1952508814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN POTTER KIMBALL Owner 405-849-4682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OK R0046325) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-12-09 |