| NPI | 1083246227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYANA RICE Owner 317-517-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2023-11-01 |