| NPI | 1023368313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A TIMKE Owner 317-496-3704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005352A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2025-01-08 |