| NPI | 1699972786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ANNETTE HUGHES Owner 317-332-8839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34005154A) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |