| NPI | 1285900035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED MOHSIN RAZA President 606-573-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: KY 36481) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |