| NPI | 1154017382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN BLAKEY Owner 317-537-7801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |