| NPI | 1447391495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED RASHID MUMTAZ President 260-436-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: IN 50004594A) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IN 50004594A) |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2020-08-22 |