NPI | 1831428341 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLEN MARCELLUS RADER President 317-471-8780 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IN 34003862A) |
Enumeration Date | 2009-12-11 |
Last Update Date | 2010-12-01 |