| NPI | 1699561480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD WILLIAMS CFO 317-948-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-09-02 |