| NPI | 1942677281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS D LONG CEO 574-339-3021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IN 01038074A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 28076787A) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2016-12-05 |