| NPI | 1144105453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELOMON EVOKE NDIKA Owner 317-519-0187 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2026-07-24 |