| NPI | 1972126357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE B WASHINGTON Chief Medical Officeer 918-994-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |