| NPI | 1659695278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD T MUNIR Sole Member 317-997-8708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 56142) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 6836) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |