| NPI | 1497419444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICE SMITH Owner/Chief Operations Officer 317-654-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |