| NPI | 1538871082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA M BYRD-JOSEPH Owner 317-518-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2023-09-30 |