NPI | 1356959068 |
---|---|
Entity Type | Organization |
Authorized Contact | SONYA KAY RUEDLINGER CEO 317-978-0257 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2020-07-20 |
Last Update Date | 2022-11-22 |