NPI | 1821844192 |
---|---|
Entity Type | Organization |
Authorized Contact | MOLLIE L FULTZ Owner 317-509-6367 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-04-27 |
Last Update Date | 2024-04-27 |