| NPI | 1912692096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANKET RAJARAM DHAT CEO And Founder 217-381-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 2084B0002X Psychiatry & Neurology, Bariatric Medicine | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X | |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-06-03 |