NPI | 1215675863 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTA CAUGHEY Owner/Therapist 317-889-0635 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-05-24 |
Last Update Date | 2025-04-06 |