| NPI | 1861653693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH H KERSEY Owner 317-581-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 20040434A) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |