| NPI | 1700134095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJANA RAYANI Member 740-710-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: OH 35093820) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |