| NPI | 1700347697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL NELSON GEORGE President 317-430-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |