NPI | 1790377711 |
---|---|
Former Legal Business Name | ADVANCED PRACTICE HEALTH ASSOCIATES LLC |
Entity Type | Organization |
Authorized Contact | LAURIE ANN RAY Manager/Owner 405-833-1108 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2021-02-10 |
Last Update Date | 2023-05-18 |