| 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 |