| NPI | 1528795069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA HONIOTES Chief Operating Officer 317-698-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2023-05-18 |