| NPI | 1043074222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMERTA MANCHANDANI Owner 571-306-1481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |