| NPI | 1770395725 |
|---|---|
| Doing Business As | EARTHLY BALANCE MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | MEMPHIS C SANDOVAL Owner 317-647-6689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-05-15 |