| NPI | 1194282525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA CASEY Owner 317-778-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-09-19 |