NPI | 1023851136 |
---|---|
Doing Business As | ODYSSEY WELLNESS GROUP |
Entity Type | Organization |
Authorized Contact | JAMES M PENTICUFF Director 317-349-7680 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-11-13 |