| NPI | 1366509085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. WILKERSON President 317-881-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: IN 20040086) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34000809A) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |