| NPI | 1861077265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMALA S ADURY Owner Of Entity 234-564-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-11-22 |