| NPI | 1437420973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHAVPAL REDDY CEO/Pres 336-632-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 0101053228) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |