| NPI | 1124111703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE STURM Business Office Director 317-757-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IN 3350649900941) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-05-15 |