NPI | 1558186700 |
---|---|
Entity Type | Organization |
Authorized Contact | JILLIAN BEYKE Owner 317-662-0227 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2024-11-21 |
Last Update Date | 2025-03-04 |