| NPI | 1356447866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W JOHNSON Owner 317-567-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 38102) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2009-08-27 |