| NPI | 1659145514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE MICHELLE GARCIA Nurse Practitioner 405-305-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |