| NPI | 1073914115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE RECHELLE DELAY-MOORE License Clinical Social Worker 317-809-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA csw004960) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |