| NPI | 1801747035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT STEPHEN DAUGHERTY Psychiatrist 918-280-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2026-02-04 |
| Last Update Date | 2026-05-12 |