| NPI | 1851134605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL BROWN Owner 317-513-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |