| NPI | 1871618082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA MOREY Clinical Social Worker 317-887-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000962A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000499A) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-08-06 |