| NPI | 1356136048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON HUNDT RUSSELL Owner 317-532-7295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-12 |
| Last Update Date | 2025-04-12 |