| NPI | 1457959132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERAD DALTON Do 317-818-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |