| NPI | 1477250116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BIFFLE Owner 317-649-1757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2024-04-01 |