| NPI | 1306467048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MARTIN CEO 317-670-6635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |