| NPI | 1225519333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIAZ RAHMAN Director & Shareholder 321-443-9924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2020-05-12 |