| NPI | 1043439169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MCCAFFREY CEO 317-536-7100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001560A) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-10-23 |