| NPI | 1669487799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS BATTULA Owner 636-477-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2006009277) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2021-01-12 |