| NPI | 1982221347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA BYRD Licensed Clinical Social Worker 317-518-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2022-05-17 |