| NPI | 1649375841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL EZE Owner 606-329-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KY 31810) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-01-11 |