| NPI | 1982801205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAUSHA MOCKABEE CEO, Owner 317-627-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2008-10-15 |