| NPI | 1609483999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA B HALL President 317-939-3049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2021-12-13 |