| NPI | 1265001234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIE BREEDING Nurse Practitioner 317-250-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-08-21 |