| NPI | 1700116969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DWAIN ADKINS General Manager 317-469-6347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34005028A) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |