| NPI | 1972390466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYANK GUPTA Owner 513-360-8216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-07-03 |