| NPI | 1316627797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI AHSAN ALI Owner (Shareholder) 929-408-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2024-01-12 |