| NPI | 1538099015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA KELLY Owner 317-722-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2026-05-19 |
| Last Update Date | 2026-05-19 |