| NPI | 1497354948 |
|---|---|
| Former Legal Business Name | PROLIFIC RESOLVE |
| Entity Type | Organization |
| Authorized Contact | MARCI GRAYSON Owner 317-721-5897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2023-08-09 |