| NPI | 1083299960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEISHA STANLEY CEO 219-576-7536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251E00000X Home Health |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |