| NPI | 1487869137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK PATEL Practitioner 270-887-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 36579) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 36579) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2025-09-11 |