| NPI | 1720813413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY HATCHER COO 317-657-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |