| NPI | 1598194516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE SHOWALTER Accounting Director 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 | 2020-03-04 |