| NPI | 1265915805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE ALLEN Chief Operating Officer 317-459-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2023-07-08 |