| NPI | 1942311923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASAD POTARAJU President 614-389-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 74490) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-12-01 |