| NPI | 1801918065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIMI BRITTINGHAM Corporate Secretary Treasurer 317-844-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-10-09 |