| NPI | 1396691473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMILLE CASE Owner 918-645-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2026-03-10 |
| Last Update Date | 2026-04-24 |