| NPI | 1710559323 |
|---|---|
| Doing Business As | NORTHSIDE PSYCHOTHERAPEUTICS |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MCQUINN Owner, Provider 317-850-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |