| NPI | 1720420938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY SIMON Owner 317-331-7637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008707) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |