| NPI | 1922257955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LYNNE MATHEWS President/Owner 317-228-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IN 20041985A) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |