| NPI | 1972749117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAYNE CEO 317-228-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01029837B) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2014-07-30 |