| NPI | 1821520982 |
|---|---|
| Doing Business As | LOYAL THERAPY & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BELL Founder 317-828-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IN MT20901551) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: IN CNA0100816) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-04-14 |