| NPI | 1952642027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONISHA JANE MANNAN Chief Executive Officer 317-437-8918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005728A) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |