| NPI | 1750643920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHARLES MORGAN Administrative Director 317-884-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 39001001A) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |