| NPI | 1881431930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MAE HIZER Owner 317-554-7419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-08-26 |