| NPI | 1336410521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ERNEST SHADID Psychiatrist/Owner 405-310-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 20542) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |