| NPI | 1114145182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH WELLS Supervisor 317-941-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34004950A) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |