| NPI | 1275083636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANA BERKASHVILLI Owner 302-650-6739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DE C1-0009293) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |