| NPI | 1356674329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA FONTE Nurse Practitioner/Owner 317-341-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IN 71000681a) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |