| NPI | 1255722005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHA GAYATRI AGEPATI President 571-620-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101254626) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |