| NPI | 1043854300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A PAHL CEO 405-525-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2024-03-21 |