| NPI | 1235451543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E MAGGARD President 317-502-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004761A) |
| Enumeration Date | 2010-02-28 |
| Last Update Date | 2010-10-22 |