NPI | 1942795406 |
---|---|
Entity Type | Organization |
Authorized Contact | FELICIA ANN SMITH Program Director 317-679-2311 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2018-06-27 |
Last Update Date | 2018-06-27 |