| NPI | 1255758686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY KHAKI Office Manager 405-360-8930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 26988) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |