| NPI | 1841094885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASANNAKUMAR SINGH CEO 866-770-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-06-05 |