| NPI | 1174055438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE PETERSON Ap RN 317-268-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IN 71006558A) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |