| NPI | 1689108219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY G SLAUGHTER Owner/Therapist 317-670-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005787A) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |