| NPI | 1093019812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNCHANA THAMASAK Operating Manager 317-371-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000112A) |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2011-01-08 |