| NPI | 1619756236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINDER MALHOTRA Owner 740-821-4576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-11-10 |