| NPI | 1225295447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W SANDERS Single Member 317-479-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002652A) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2014-03-13 |