| NPI | 1275920399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY J. RENTSCHLER Owner 317-886-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34006187A) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |