| NPI | 1689869893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MORRIS CFO 317-338-6234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 363L00000X Nurse Practitioner | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2024-04-03 |