| NPI | 1568970523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HARRIS Owner 317-961-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-03-21 |