| 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 |