Organization
IIPUC
Active
Other names
AUR CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL GRAHAM NP (DNP)
(463) 224-3210
Entity
Organization
Contact information
Practice address
1935 N CAPITOL AVE, INDIANAPOLIS, IN 46202-6403
(317) 920-1111
Mailing address
PO BOX 186, LEBANON, IN 46052-0186
(463) 224-3210
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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