| NPI | 1770877755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH KENNEDY Owner 317-345-4065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 39001905A) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |