| NPI | 1104149996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL TOBIN SMITH Executive Director 800-752-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 39000798A) |
| Additional Taxonomies | 251B00000X Case Management (Licence: IN 39000518) |
| 251B00000X Case Management (Licence: IN 3900311A) | |
| 251B00000X Case Management (Licence: IN 39000798A) | |
| 251B00000X Case Management (Licence: IN 34004986A) | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health (Licence: IN 39000311A) | |
| 251S00000X Community/Behavioral Health (Licence: IN 34004986A) | |
| 251S00000X Community/Behavioral Health (Licence: IN 39000518) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |