| NPI | 1124705348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLINE LAMI EDIE Owner 405-501-8806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-03-19 |