| NPI | 1831287754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVADA MERRIWEATHER President 317-202-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 34001098A) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |