| NPI | 1881913358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN A KHAVARI Owner 405-285-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 24662) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |