| NPI | 1891628434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEN NORRIS Managing Member 317-937-9740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-06-04 |