| NPI | 1366105884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLIE PATCH-SABLAN Mental Health Counselor 317-361-0962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-06-23 |