NPI | 1427380146 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON BRENT WILLIAMS Ca PT Ain 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 |