| NPI | 1164632105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN 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 | 2007-12-14 |