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 |