| NPI | 1598987075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI JANE ANDERSON Owner 317-850-4129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003716A) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |