| NPI | 1063573459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADONIS SIMON AL-BOTROS Physician 405-600-6730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 21751) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-02-07 |