| NPI | 1477194645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEELOFAR LALANI President 405-326-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |