| NPI | 1073099933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA DIANNE SIGLER CEO 317-525-1764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |