| NPI | 1629743687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEEL PATEL Managing Partner 386-965-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2024-09-27 |