| NPI | 1477213429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA LYNN RICHERT CEO 317-440-0924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2021-12-17 |