Kim Johnson, MHR, D.MIN, CSAYC Valid NPI

Individual provider · Psychiatric Residential Treatment Facility · Indianapolis, IN

NPI

1508277401

Type

Individual (Type 1)

Primary specialty

Psychiatric Residential Treatment Facility

Specialty group

Residential Treatment Facilities

Taxonomy code

323P00000X

Sex

Female

Sole proprietor

Yes

Enumerated

2014-05-13

Last updated

2014-05-13