| NPI | 1104186469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHASKAR N RAJU Manager 407-694-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME91130) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |