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, Psych/Mental Health |
Enumeration Date | 2023-02-14 |
Last Update Date | 2023-03-14 |