| NPI | 1629816582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNEY ZIMMER COO 317-518-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |