| 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 |