NPI | 1083336580 |
---|---|
Entity Type | Organization |
Authorized Contact | PRIYANKA MALHOTRA Credentialing Director 013-771-8363 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-09-13 |
Last Update Date | 2024-11-06 |