| NPI | 1518793132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED OMOONGEH Manager 405-219-5425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-10-03 |