| NPI | 1043029861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL A BURNS Member/Director Of Operation 317-627-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |