| NPI | 1265736615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BRANT GORDON President 317-578-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2013-04-04 |