| NPI | 1760625446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE MCCRAY Executive Director 317-924-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 20042020A) |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2009-04-11 |