| NPI | 1225465057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A KEARBY Owner 317-602-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 1861776718) |
| Enumeration Date | 2013-10-13 |
| Last Update Date | 2013-10-13 |