| 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 |