| NPI | 1669708541 |
|---|---|
| Other Name | LCFS |
| Entity Type | Organization |
| Authorized Contact | KIM DALTON Intermim Executive Director 317-359-5467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IN 7354549900998) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| 103K00000X Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2012-10-31 |