| NPI | 1871115311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHIF AJAZ JANJUA CEO 574-208-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-12-09 |