| NPI | 1386328359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MYERS Director 317-514-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-10-06 |