| NPI | 1205564366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIZI AHMED Owner 267-247-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-09-01 |