| NPI | 1386055416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY DOBSON Owner/Counselor 317-660-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 39002355A) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |