| NPI | 1801084579 |
|---|---|
| Doing Business As | STEPHANIE SHANK |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SHANK Owner 317-440-4176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 39001720A) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-02-04 |