| NPI | 1215599089 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ARLEAN RICHARDSON Director Of Operations 317-552-1214 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | 
| Enumeration Date | 2019-07-02 | 
| Last Update Date | 2025-01-21 |