| NPI | 1063699635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA GALE MILLER-GIVAN CEO 317-858-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2015-11-04 |