| NPI | 1124466131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY RAE MATHEWS CEO 317-738-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 87000021A) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2020-09-10 |