| NPI | 1134084262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GATUNZI Executive Director 317-319-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-12-20 |
| Last Update Date | 2025-12-20 |