| NPI | 1922827039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERYN SHELTON Licensed Mental Health Counselor 317-300-5362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |