NPI | 1457022865 |
---|---|
Doing Business As | ETHAN CROSSING ADDICTION CAMPUS OF INDIANAPOLIS |
Entity Type | Organization |
Authorized Contact | ISAAC ROSEDALE President 513-489-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-09-24 |
Last Update Date | 2024-05-10 |