| NPI | 1336440122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J. WERNERT President 1317-445-5016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: IN 01035237A) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |