| NPI | 1245054071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOWMINI OOMMAN Owner/Provider 501-650-4226 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |