| NPI | 1437413473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TADD MICHAEL WHALLON Executive Director 317-313-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000325A) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |