| NPI | 1942084561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINKAH BECKTEMBA Owner 317-939-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |