| NPI | 1154574457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM L. DALTON CEO 317-281-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2020-03-04 |