| NPI | 1861697989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY D PATEL Owner 260-483-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IN 01029672A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000054A) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34001106A) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2012-02-28 |