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1907 W Sycamore St Kokomo IN 46901-5148 | |
| (317) 583-3064 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1907 W Sycamore St, Kokomo, Indiana |
| Authorized Official Name and Position | Brian Morris (CFO) |
| Authorized Official Contact | 3173386234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 Ph: () - | 1907 W Sycamore St Kokomo IN 46901-5148 Ph: (317) 583-3064 |
| NPI Number | 1568799740 |
|---|---|
| Provider Enumeration Date | 11/10/2009 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568799740 | NPI | - | NPPES |
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