| NPI | 1497574776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEHA VADALIA Chief Administrative Officer 260-450-8397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |