| NPI | 1245930775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MCDONALD Owner 317-629-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X | |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |