| NPI | 1558787192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYASREE J NANDAGOPAL Owner 513-847-4491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.088216) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |