| NPI | 1538040936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRAL PATEL President 833-472-3474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |