| 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 |