| NPI | 1760377964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAYLE HALL Practice Manager 317-951-6332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |