| NPI | 1649219049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE A BURKS Executive Director 317-381-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 104100000X Social Worker | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2008-05-06 |