| NPI | 1720832371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANCE TYP WHINNERY Founder/Manager 405-200-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-07-02 |