| NPI | 1225417504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISH PARIKH Owner 606-393-6193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KY 39551) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2016-11-08 |