| NPI | 1396900601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PARRISH-SPROWL Vice President 1317-413-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IN 34003497A) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |