| NPI | 1265514954 |
|---|---|
| Doing Business As | SUFFOLK PSYCHIATRIC GROUP |
| Entity Type | Organization |
| Authorized Contact | HAYDEH ESMAILI Owner 757-539-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101039180) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-04-28 |