| NPI | 1023505682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SUTTON Licensed Clinical Social Worker 317-455-5375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001280A) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-02-14 |