| NPI | 1952466088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SMITH President 765-455-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 50001664A) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |