| NPI | 1093160392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL EMMONS Clinical Social Worker 317-371-3265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005602A) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |