| NPI | 1427114578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSMAS L RAIMONDI Partner 317-581-1779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001977A) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2020-08-22 |