| NPI | 1639645518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCELYN WILSON Owner Director 317-500-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2020-08-18 |