| NPI | 1477543684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL J FAIDLEY Owner/Psychologist 317-888-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: IN 20040834) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-08-22 |