| NPI | 1770433229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DASHA LEANN JOSEPH Managing Member 405-423-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2026-02-02 |
| Last Update Date | 2026-02-02 |