| NPI | 1851286009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITHA MOGALLAPU Owner 407-620-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |