| NPI | 1972851467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ROSS CEO 405-719-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: OK 8457) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-09-18 |