| NPI | 1417598590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY HINZ President 317-207-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2020-05-08 |