| NPI | 1831575463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COWHERD President 317-989-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-11-9525) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |