| NPI | 1174709562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY NAYLOR Supervisor 317-863-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 28124545A) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |