| NPI | 1770030355 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | COLLEEN M CAITO Owner/President 317-523-5187  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002531A)  | 
| Enumeration Date | 2016-09-01 | 
| Last Update Date | 2016-09-01 |