| NPI | 1942380878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC LOSACCO President 918-491-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 10161) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |