| NPI | 1336414499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ROBERT KRISTL President 574-252-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01037448A) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |