| NPI | 1023334810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIAN B ANGEBRANDT Owner 317-346-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34005036A) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2011-03-25 |