| NPI | 1881671071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALATHI V KOLI Owner 210-490-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G0624) |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: TX G0624) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2007-10-02 |