NPI | 1689148041 |
---|---|
Entity Type | Organization |
Authorized Contact | KATE CREASON Owner 317-721-9585 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
102L00000X Psychoanalyst | |
Enumeration Date | 2019-01-17 |
Last Update Date | 2019-01-17 |