| 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 | 2024-06-17 |