| NPI | 1295281053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ENGLISH Authorized Official 317-852-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2023-01-27 |