| NPI | 1760051999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA OKOJIE Nurse Practioner 317-820-7582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2022-06-03 |