| NPI | 1770024705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY ANN HOMAN Therapist 317-607-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 34007764A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000695A) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |