| NPI | 1235898701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJUNATH BALARAM President 605-214-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2024-05-09 |