| NPI | 1477612935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCARIYA M KUMARAMANGALAM Owner President 256-265-6170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2009-11-18 |