| NPI | 1043722853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD FARHAN IJAZ Owner 862-249-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2024-04-23 |