| NPI | 1184859274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS CHARLES KEISTER Clinical Director 317-462-8281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 1592-0-ASO) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |