| NPI | 1093918575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY ANN SHADID Member Manager 405-471-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OK 25097) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |