| NPI | 1174843460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETITIA VIDETTE BECKETT-HAYWOOD President 317-460-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005683A) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |