| NPI | 1598967341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKSHMIKANTHA KUMBLA Registered Agent 205-979-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |