NPI | 1306393301 |
---|---|
Entity Type | Organization |
Authorized Contact | ABRAM THOMAS SINN Owner 317-460-4204 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2016-09-07 |
Last Update Date | 2025-07-21 |