| NPI | 1134580087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELAINE TUTTLE Dispensing Nurse 317-313-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IN 1275686123) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |