| NPI | 1700432341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BURNS Executive Director 317-985-8179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2022-01-20 |