| NPI | 1013604875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUISHA LLOYD Director 317-667-7595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2024-08-08 |