| NPI | 1013263151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMANG SHAH Co Owner 704-912-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 1267930) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |