NPI | 1700382892 |
---|---|
Entity Type | Organization |
Authorized Contact | BECKY SAYRE Owner/Provider 317-661-4742 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006842A) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IN 34006842A) |
Enumeration Date | 2018-04-05 |
Last Update Date | 2018-12-10 |