| NPI | 1679073662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI LYNN PARIS Co Owner 317-652-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006103A) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |