NPI | 1528512183 |
---|---|
Doing Business As | OLIVE BRANCH CLINIC |
Doing Business As | OLIVA BRANCH CLINIC |
Entity Type | Organization |
Authorized Contact | WILLIAM OLIVA Chief Medical Officer 405-451-3454 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Enumeration Date | 2016-08-11 |
Last Update Date | 2022-10-04 |