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 |