| NPI | 1952785370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATHILA NAIR Owner 518-968-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA09212200) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-16 |