| NPI | 1053788588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASON GALLMEYER Owner 317-701-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006163A) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |