| NPI | 1831431840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ELI NOVAK Owner 317-677-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005014A) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |