| NPI | 1659755544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN L RUSH Executive Director 317-920-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |