| NPI | 1881947133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMARAO YELETI CEO 317-621-8046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2022-06-02 |