| NPI | 1093053373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVYANSU PATEL Vice President 440-376-7948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX N5934) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |