| NPI | 1689010027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPTI RAO CEO 317-580-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IN 01059177A) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-28 |