NPI | 1417119884 |
---|---|
Entity Type | Organization |
Authorized Contact | STACEY L BEESON Owner, Billing Co. 317-863-2593 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004095A) |
Enumeration Date | 2008-06-27 |
Last Update Date | 2008-06-27 |