| NPI | 1386478295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL GORBETT Admin 317-370-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-11-04 |