| NPI | 1194958470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BRADEN Executive Program Director 317-705-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000529A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001577A) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34003076A) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34005191A) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-10-20 |