| NPI | 1205596715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRIMSETTA LAJEANNA DUNN Owner 317-493-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| 251S00000X Community/Behavioral Health | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2021-12-23 |