| NPI | 1154075711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH EVERETT CFO 317-679-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |