| NPI | 1235849282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVA RICHARDSON Owner 317-607-3812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |