| NPI | 1942668843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXINE C. SMITH Owner 317-579-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001278A) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |