| NPI | 1104359009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RENAE WEAVER Owner/Therapist 317-603-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-12 |