| NPI | 1699505453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSHAUNDRA PHIFER Psych Nurse Practitioner 219-973-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |