| NPI | 1689294779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE F MOORE Compliance & Quality Improvement 317-296-8730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-22 |