| NPI | 1174273486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITRA S KING Owner 317-540-3457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |