NPI | 1083463442 |
---|---|
Entity Type | Organization |
Authorized Contact | MEKO KOKEH Authorized Official 317-529-2372 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-05-16 |
Last Update Date | 2024-07-30 |