NPI | 1518537398 |
---|---|
Entity Type | Organization |
Authorized Contact | CEDRIC TOWNER CEO/Executive Director 317-985-7279 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2021-06-25 |
Last Update Date | 2021-06-25 |