| NPI | 1679622013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARUNENDU SHEKHAR DWIVEDI President 803-329-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 26861) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: SC 26861) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-04-24 |