| NPI | 1013614627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA RITCHIE Office Manager 317-975-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-03-14 |