| NPI | 1407391931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJANI K RAVINDRA Md/Owner 386-755-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME40806) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |