| NPI | 1245408103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDRA PRAKASH SRIVASTAVA President 843-681-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 23689) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2016-03-08 |