| NPI | 1992902613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K. V. MATHEW President 810-230-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI km033355) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |