| NPI | 1184745788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARWATI C MADDALI President 321-631-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0066568) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-10-10 |