| NPI | 1528850971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN HENDERSON Managing Member 317-965-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 183500000X Pharmacist | |
| 1835P1200X Pharmacist, Pharmacotherapy | |
| 1835P1300X Pharmacist, Psychiatric | |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |