| NPI | 1477250116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BIFFLE Owner 317-600-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2025-07-22 |