| NPI | 1689034571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN M RADER Owner 317-446-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 34003862A) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2020-12-03 |