| NPI | 1801573381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH ELLINGSWORTH Psychiatrist 812-240-6368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |