| NPI | 1497132179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN JUERGENSEN SHEETS Owner 317-218-3479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 350001957a) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |