| NPI | 1356713473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMAIRA AHMED Owner 913-909-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q4631) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |