| NPI | 1720725237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE ROBINSON Director 317-941-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |