| NPI | 1093573461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE SANDERS CEO 317-457-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-08-07 |