| NPI | 1255943460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DEWAYNE MARSHALL CEO 317-640-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-23 |