| NPI | 1518149400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E WHITTEN Clinical Director 317-714-7131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 34003850A) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |