NPI | 1770709230 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK DELONG Executive Director 812-336-3570 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IN 1279-0 CA) |
Additional Taxonomies | 251S00000X (Licence: IN 1279-0 ASR) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2011-09-26 |