| NPI | 1497493571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY BOSTIAN-MILLER Owner/Mental Health Therapist 317-385-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2024-05-30 |