NPI | 1013289339 |
---|---|
Entity Type | Organization |
Authorized Contact | HIRUY H GESSESSE Owner 424-400-7748 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A101106) |
Enumeration Date | 2012-02-01 |
Last Update Date | 2014-09-11 |