| NPI | 1174742597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTHARAM DARBE Manager, Physician 405-840-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 16024) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 2561) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |