| NPI | 1346954070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RINKOO SIDHU Manager 317-296-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-11-27 |