| NPI | 1871057125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BETH SMITH Owner 405-400-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |