| NPI | 1235568734 |
|---|---|
| Doing Business As | SYCAMORE SPRINGS |
| Entity Type | Organization |
| Authorized Contact | DONNA SALEE WEST Director Of License And Regulation 812-598-8989 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01044028B) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01044009A) |
| 207Q00000X Family Medicine (Licence: IN 02002841A) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28150957A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28119850A) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |