| NPI | 1699563866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTI BRADLEY Founder, Clinical Director 574-310-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |