| NPI | 1437898525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL KOLLEH Manager 317-629-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |