| NPI | 1073291795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN BOWMAN President, Clinical Therapist 317-746-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-05-01 |