| NPI | 1669648572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WINSTON GONZALEZ President 812-232-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01052463) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2024-04-02 |