| NPI | 1851604193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYASREE J NANDAGOPAL Owner 513-847-4491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35088216) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |