| NPI | 1174218358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKANKSHA SRIVASTAV Chief Executive Officer 669-282-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |