| NPI | 1538617089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIZI AHMED Owner 267-247-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: FL ME129014) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME129014) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2024-08-27 |