| NPI | 1427380146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BRENT WILLIAMS Captain 812-673-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: IN 341600000x) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |