| NPI | 1457730749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI KNOWLES DUNCAN Owner 317-776-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IN 01042811A) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |