| NPI | 1710347042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON SPENCER Clinician 317-258-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 13703) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |