| NPI | 1295035301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS GOULD CEO 317-568-0683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 1509-O-ASO) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |