| NPI | 1104591106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LUSHINSKY Owner 317-385-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111N00000X Chiropractor |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |