| NPI | 1760186027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SPEARS Licensed Mental Health Counselor 317-855-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2024-09-30 |