| NPI | 1881054831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVED M HAQUE Owner 251-689-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A121502) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A121502) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |