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 |