| NPI | 1073523221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOJTABA R MOTLAGH Psychiatist 7026-363-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NV 5494) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-07-14 |