| NPI | 1386415883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA CARTER Director Of Operations 317-272-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |