| NPI | 1619164381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE STONE Psychologist 317-566-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 20040643) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |