| NPI | 1336680941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIRA SEHAM YASIN CEO 267-201-4019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QM0801X | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2019-05-20 |