| NPI | 1326757204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMESH MHATRE Chairman 386-755-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2023-03-03 |