| NPI | 1548839483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANKAR YALAMANCHILI Owner 334-239-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2025-07-28 |