| NPI | 1205519303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHAUNTA JAMES- BOYD Executive Director 405-429-7940 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |