| NPI | 1083914717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN COREY Executive Director 812-659-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IN 155516933 43620) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2013-07-05 |