| 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, Psych/Mental Health | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-08-21 |