| NPI | 1922215193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM ATHIALY President 317-272-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000774A) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |