| NPI | 1265736615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOMI YAMANAKA Executive Clinical Director 317-517-8817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2024-12-06 |