| NPI | 1396988929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA WILSON Executive Director 317-457-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 20042020A) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |