| NPI | 1720876659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE SPELLS Administrator 317-730-5247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |