| NPI | 1528327673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY BRUTUS ANDERSON Sole Proprietor 317-545-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34002423A) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |