| NPI | 1972646503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RILEY KELLER Director, Behavioral Health 405-359-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OK 854) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |