| NPI | 1689665606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN R SMITH CEO/Treasurer 260-436-2416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 50000063A) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-08-22 |