NPI | 1316774326 |
---|---|
Entity Type | Organization |
Authorized Contact | ALECIA NICOLE TOLES CEO 317-403-9093 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2024-09-16 |
Last Update Date | 2024-09-16 |