| NPI | 1982124558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH MAHAN President/Owner 317-886-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000759A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001345A) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-07-21 |