| NPI | 1194546796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W. RENEE ROBERTS Assistant Director 317-361-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-22 |