| 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 |