| NPI | 1639837685 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CAPRISHEUS YVETTE OLIVER Clinical Social Worker/Founder 317-766-3117 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2021-12-06 | 
| Last Update Date | 2023-09-18 |