| NPI | 1588617138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARSH BUCKINGHAM Owner 317-288-9942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 57000069A) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-04-24 |