Organization
PSYCH SUPPORT ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SWETA DESHMUKH (CEO)
(216) 310-2924
Entity
Organization
Contact information
Practice address
4108 BLUE HOLLOW DR, COLUMBIA, MO 65203-7256
(216) 299-2522
Mailing address
5915 SW 49TH AVE, OCALA, FL 34474-5701
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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