| NPI | 1912461823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHELLE M LEAVELL CEO 317-409-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 1041C0700X Social Worker, Clinical | |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-02-01 |