| NPI | 1922071638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J. WERNERT President 317-566-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology Geriatric Psychiatry |
| Enumeration Date | 2006-02-12 |
| Last Update Date | 2020-08-22 |