| NPI | 1972618452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CARROLL CEO 317-789-6108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 104100000X Social Worker | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| 101YP2500X Counselor Professional | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-12-15 |