| NPI | 1275852113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN JO MOORE President 317-543-9347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 39002001A) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |