| NPI | 1073957379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE BURTON Licensed Marriage & Family Therapy 317-496-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IN 85000105A) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |