| NPI | 1538582796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA COMPTON Owner 317-796-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001446A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 86000225A) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2024-04-29 |