| NPI | 1245772771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKAS DUVVURI Owner 800-275-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |