| NPI | 1831236637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MUTHAIAH THEVAR President 267-718-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-11-29 |