| NPI | 1316175268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECIA MARIE NASH Executive Director 317-392-3779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IN 01050948) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: IN 01035345) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |