| NPI | 1760058119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MICHELLE CHASTEEN Executive Director 317-250-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |