| NPI | 1891509105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYSHICA NICOLE JEFFERSON CEO/Registered Behaviorial Therapis 317-236-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |