| NPI | 1861554859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL NELSON GEORGE President 317-475-1389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002279A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05000996A) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |