| NPI | 1558186700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN BEYKE Owner 317-408-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |