| NPI | 1104795095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARSHA CHAKRABURTTY Managing Member/Physician 405-406-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-31 |