| NPI | 1104660794 |
|---|---|
| Other Name | JCMH INDY CORNER - C |
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN GOFF Chief Financial Officer 303-432-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |