| NPI | 1154643542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGHENESUME DAVID UMUGBE President 210-385-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A94047) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A94047) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2012-02-14 |