| NPI | 1093682122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR CLAYBROOK Owner 918-344-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology Neurocritical Care |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-30 |