| NPI | 1750723847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISSI BROOKS Administrator 317-843-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |