| NPI | 1508011008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON D MARHENKE Owner 317-578-5344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01022803A) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2009-02-04 |