| NPI | 1447838586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT LEE SCOTT Operating Member 317-571-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2021-04-04 |