| NPI | 1851152227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARTHIK RAVINDRAN Md/Owner 908-230-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-11-04 |