| NPI | 1447599204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN P THOMPSON Vice President 317-698-1969 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 251S00000X) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |