NPI | 1942972047 |
---|---|
Doing Business As | QPM |
Doing Business As | INDIANA TMS |
Doing Business As | QAM |
Entity Type | Organization |
Authorized Contact | SATYA KISHORE GUTTA Authorized Official 260-208-9676 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2021-09-28 |
Last Update Date | 2022-02-18 |