| NPI | 1356808778 |
|---|---|
| Doing Business As | ANGEL BUMPHUS |
| Entity Type | Organization |
| Authorized Contact | ANGEL RENEE BUMPHUS Owner 317-698-9128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |