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 |