| NPI | 1437554300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY FERRIS Owner/President 317-585-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 34003819A) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |