| NPI | 1730663923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSY BRATCHER Office Manager 317-213-6762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |