NPI | 1154531184 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL HARSHMAN CEO 574-289-4831 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |