| NPI | 1871897538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON LANE NIXON Chief Financial Officer 765-438-2059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01047250A) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2016-11-08 |