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