| NPI | 1780883207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L BAKER CEO 812-314-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01042283A) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |