| NPI | 1174065551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON LEE THOMAS Director Of Business Development 317-622-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |