NPI | 1710293659 |
---|---|
Entity Type | Organization |
Authorized Contact | EVELYN I. GAITHER Clinical Director And President 317-899-2010 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 86000082A) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2012-05-03 |