| NPI | 1073788113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE W MUELLER Executive Director 219-886-1320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IN 33456) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-06-17 |