| NPI | 1518747153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON ROSS STAHLHUT Marriage And Family Therapist 317-748-6931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |