| NPI | 1619072493 |
|---|---|
| Doing Business As | FAIRBANKS |
| Entity Type | Organization |
| Authorized Contact | HOLLY A MILLARD EVP Finance 317-355-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: IN 835-1-P1P) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-13 |