| NPI | 1508179680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E. BOWMAN Vice President 317-670-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002755A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000297A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000195A) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-20 |