| NPI | 1477029346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCELYN WILSON Owner/Director 317-500-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |