| NPI | 1518401868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GARTH MINTUN Vice President 317-578-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001376A) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |