NPI | 1558142430 |
---|---|
Doing Business As | THE SERGEANT'S FISH & DONUT |
Entity Type | Organization |
Authorized Contact | PAUL COLLINS Advisor 317-503-5254 |
Organization Subpart ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Enumeration Date | 2023-10-09 |
Last Update Date | 2023-10-09 |