| NPI | 1194149757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KRISTINA COLLINS Owner Operator 317-987-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: IN cna1005773) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |