| NPI | 1760038525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAKANTH KAMARAJU VEMULURI Owner/Provider 334-270-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |