| NPI | 1033236393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA K KAMBHAMPATI President 318-397-8251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD.14626R) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |