NPI | 1225140965 |
---|---|
Other Name | LCFS |
Entity Type | Organization |
Authorized Contact | GLENN R JOHNSON Interim Executive Director 317-359-5467 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IN 73545 49-900998) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |