| NPI | 1255198271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MINNION-KLYCE Nurse Practitioner 219-680-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |