| NPI | 1700337920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN KLEDZIK Owner Of LLC 317-818-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01065931A) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |