| NPI | 1447023858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY LANDIS CEO 317-517-7286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |