| NPI | 1720891187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN KENNEDY President 317-223-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WA2000X Registered Nurse, Administrator | |
| 170300000X Genetic Counselor, MS | |
| 171400000X Health & Wellness Coach | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-02-02 |