| NPI | 1033890157 |
|---|---|
| Doing Business As | MICHAEL MAKSIMOVICH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN MAKSIMOVICH Owner/President 317-250-4149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |