| NPI | 1265965859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE DUE Licensed Mental Health Counselor 317-709-3402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003025A) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |