| NPI | 1629688676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WALSH President 317-896-0831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2021-05-18 |