NPI | 1346962628 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN BLUME Owner 317-503-7936 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-09-14 |
Last Update Date | 2023-01-09 |