NPI | 1528602257 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIAKA JACKSON Manager 317-835-3435 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Enumeration Date | 2019-11-06 |
Last Update Date | 2023-04-26 |