| NPI | 1235331380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURABHI SINGH Chief Operating Officer 407-602-7168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: FL ME75492) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-09-24 |