NPI | 1750723847 |
---|---|
Entity Type | Organization |
Authorized Contact | MISSI BROOKS Administrator 317-843-9922 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
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 |