NPI | 1407862824 |
---|---|
Doing Business As | WISH THERAPEUTIC SERVICES (WTS) |
Entity Type | Organization |
Authorized Contact | PHILLIP MAZORODZE President 317-295-9441 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: IN 200541700A) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2022-07-21 |