| NPI | 1093027179 |
|---|---|
| Doing Business As | INDIANA MENTOR |
| Entity Type | Organization |
| Authorized Contact | JEANNA R KNIGHT Program Supervisor 317-581-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |