| 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 |