NPI | 1902067440 |
---|---|
Other Name | GALLAHUE MENTAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | ANTHONY JAVORKA Authorized Official 317-621-1591 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 416) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2017-04-05 |