| NPI | 1831664861 |
|---|---|
| Doing Business As | ERIC BRYAN THERAPY |
| Entity Type | Organization |
| Authorized Contact | ERIC BRYAN Owner 317-999-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |