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 |