| NPI | 1720327513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMI VICTOR Owner/Provider 848-248-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 44918) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2019-10-25 |