| NPI | 1962779389 |
|---|---|
| Doing Business As | THE BETHLEHEM HOSUE |
| Entity Type | Organization |
| Authorized Contact | NATHAN L RUSH Executive Director 317-920-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |