| NPI | 1134942246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE STONE CEO 317-801-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |