| NPI | 1528536109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON HOLLINGSWORTH Partner 405-310-3735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 101Y00000X Counselor |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2024-02-05 |