NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1184292054 |   |   |   | VIKING PSYCHIATRY LLC | 6336 CONSTITUTION DR | FORT WAYNE | IN | 468041518 |
1568103513 | HALL | MOLLY | KATHLEEN |   | 6336 CONSTITUTION DR | FORT WAYNE | IN | 468041518 |