| NPI | 1114815354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA DONALDSON CEO 260-415-1954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |