| NPI | 1053722637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESMOND MATHEWS President/CEO 317-755-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM0801X | |
| 385H00000X Respite Care | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2017-09-14 |