| NPI | 1629221502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SULTAN MALLICK President 282-821-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: WI 22719) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |