| NPI | 1427148782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREVESH KUMAR RUSTAGI President 260-484-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2017-01-15 |