| NPI | 1992153886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOHN COYKENDALL Owner/Behavioral Health Counselor 317-405-9801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2022-07-21 |