| NPI | 1699780429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE DAILEY Executive Director 317-466-0657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34004563A) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |