| NPI | 1073271029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRI VENKATA UPPALAPATI President & CEO 918-852-9062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |