| NPI | 1609496124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANOTHACHADRAN SHANMUGARAJAH CEO 647-992-7248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2024-03-24 |