| NPI | 1215484381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO ANTONIO RODRIGUEZ-DIAZ Owner 317-643-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2017-01-17 |