| NPI | 1083413108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA DESIREE WEILHAMMER Licensed Mental Health Therapist 317-250-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-05-30 |