| NPI | 1740251099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL M PATHAK Business Manager 904-399-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0062361) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2012-03-07 |