| NPI | 1902621949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE ORLINSKY CEO 317-341-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2025-04-23 |