| NPI | 1346784626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH EVERETT Executive Director 317-679-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20010499A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001938A) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |