| NPI | 1700432341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BURNS Executive Director 317-985-8179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2026-06-19 |