| NPI | 1497438204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SUE MCQUARTERS Nurse Practitioner 918-574-5124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |