| NPI | 1912666827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIDAD ZADEH CEO 442-283-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2022-08-22 |