NPI | 1811581879 |
---|---|
Entity Type | Organization |
Authorized Contact | RONDA OWENS-DEHMER Pmhnp Bc 317-358-9022 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-21 |
Last Update Date | 2022-09-13 |