| NPI | 1285844910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GOLL President 317-289-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001069) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2017-01-04 |