| NPI | 1831989748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANRE B OLANREWAJU Owner 317-496-7726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |