| NPI | 1669778775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER CLAY FLANINGHAM Physician 317-937-7988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01068843A) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |