NPI | 1932144797 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY ERNEST SHADID Owner 405-579-5858 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Enumeration Date | 2006-06-17 |
Last Update Date | 2020-08-22 |