| NPI | 1457825283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN NICOLE NEITLING Licensed Mental Health Counselor 317-779-5607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2020-05-28 |