| NPI | 1356176150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NORMAN Director 918-932-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2025-08-19 |