NPI | 1740635143 |
---|---|
Entity Type | Organization |
Authorized Contact | SHINY MARY ABRAHAM CEO 216-469-5575 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: TX q1450) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: TX q1450) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q0601) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX q1450) | |
208VP0000X | |
Enumeration Date | 2016-05-04 |
Last Update Date | 2025-02-04 |