| NPI | 1770038283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE ANTONAS Owner/Manager 317-418-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1600262) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |