| NPI | 1144019498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY THOMPSON CEO 317-344-9485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2025-05-03 |
| Last Update Date | 2025-07-31 |