| NPI | 1023833597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA OGAR Authorized Official 317-529-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |