| NPI | 1295335958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE LEWIS CEO 317-263-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TH0100X Psychologist Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |