| NPI | 1689497331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN LAYDEN Owner 317-643-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-02 |