| NPI | 1184425753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CENE L LIVINGSTON Owner 405-476-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-21 |