| NPI | 1659441178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA WILLIAMSON Director 317-710-3075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 1681-0-ASO) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2015-02-23 |