| NPI | 1407914195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK LANCE WARREN President 812-477-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 50003851a) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |