| NPI | 1710360474 |
|---|---|
| Other Name | ASSURANCE HEALTH WILMINGTON |
| Entity Type | Organization |
| Authorized Contact | KYLE D SMALL CEO 317-372-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: OH 07-7512) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: OH 07-7517) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-03-17 |