| NPI | 1053028464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAKENYA SHAE PATTERSON Co Owner 317-414-6294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |