| NPI | 1821859703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN STARK Sr Rcm Sme 317-225-0489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2026-06-11 |