| NPI | 1801287842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO ANTONIO RODRIGUEZ-DIAZ CEO 317-671-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2017-01-31 |