NPI | 1598194516 |
---|---|
Entity Type | Organization |
Authorized Contact | JIM L DALTON CEO 317-856-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IN 73860) |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: IN 73861) |
323P00000X Psychiatric Residential Treatment Facility (Licence: IN 73862) | |
323P00000X Psychiatric Residential Treatment Facility (Licence: IN 73863) | |
323P00000X Psychiatric Residential Treatment Facility (Licence: IN 73864) | |
Enumeration Date | 2013-11-12 |
Last Update Date | 2024-06-19 |