| NPI | 1194597179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY MEIER Owner 317-372-4562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |