| NPI | 1144353715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE WARREN MUELLER Executive Director 219-886-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IN 33456) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |