| NPI | 1023240025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE CLARE HINDS Owner 317-885-7214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34005414A) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-10 |