| NPI | 1326889049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE COHEN Owner/Provider 918-306-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |