| NPI | 1972919553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHASKAR GOWDA Owner 573-529-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 2002031642) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |