| NPI | 1073910360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN KEARBY Owner 317-215-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006810A) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |