NPI | 1942411087 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE JACOB BLAKE Physician Owner 918-828-0230 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 18245) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |