| NPI | 1689360356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA ELAINE BOYDEN-DEIDRICK Owner/Mental Health Clinician 317-316-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |