| NPI | 1538839568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDAN KUMAR Co Founder 469-331-6702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |