| NPI | 1023658382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA BATTLES-WINTERS Licensed Clinician 317-200-2593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-02-08 |