| NPI | 1922516962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA SANDOVAL CEO 317-417-0656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 324841) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |