| NPI | 1932460987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA CLAIR Therapist 317-788-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34001319A) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |