| NPI | 1033599014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEE RAGER Therapist 260-484-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IN 35001873A) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |