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 |