| NPI | 1427154814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM L. DALTON CEO 317-281-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-07-17 |