NPI | 1407373715 |
---|---|
Entity Type | Organization |
Authorized Contact | A MONIQUE BURNS Owner / Clinical Therapist 317-418-9149 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2017023471) |
Enumeration Date | 2017-08-28 |
Last Update Date | 2022-07-21 |