NPI | 1154574457 |
---|---|
Entity Type | Organization |
Authorized Contact | JIM L. DALTON CEO 317-281-4545 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2008-10-30 |
Last Update Date | 2024-06-19 |