| NPI | 1255729950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKOSUA A BAKEMAN GYEABOA Director 317-672-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000416a) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001017a) |
| 101YM0800X Counselor, Mental Health (Licence: IN 87001017a) | |
| 101YP1600X Counselor, Pastoral (Licence: IN 87001017a) | |
| 103K00000X Behavior Analyst (Licence: IN 87001017a) | |
| 1041S0200X Social Worker, School (Licence: IN 34000416a) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 87001017a) | |
| Enumeration Date | 2015-01-03 |
| Last Update Date | 2015-01-03 |