| NPI | 1245541499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA PEARL ALEXANDER Manager 317-446-4146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |