| NPI | 1962239921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA KINSTLE Owner 317-590-3862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |