NPI | 1508232190 |
---|---|
Entity Type | Organization |
Authorized Contact | KERI LYNN WIMBERLY-BROWN Owner 317-525-0226 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 87001136A) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2015-08-18 |