| NPI | 1386921732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F BREYER CFO 317-882-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 34005892A) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |