| NPI | 1528689742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN E EATON Member 317-674-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225800000X Recreation Therapist |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |