| NPI | 1689957748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE M KELLY Chief Executive Officer 317-627-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2013-08-19 |