| NPI | 1093907081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATHIBA RAM Owner/Member 606-864-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 40211) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2014-09-16 |