| NPI | 1851888796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNELL WESTBROOK GATES CEO 317-222-5064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2019-06-19 |