| NPI | 1821293663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DENISE FREEMAN Therapist 317-663-7302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000955A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001475A) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01038511) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 28073621A) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |