| NPI | 1083557300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMDAWAY IBRAHIM Manager 317-207-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2026-04-11 |
| Last Update Date | 2026-04-11 |