| NPI | 1225324866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA RAFINSKI Regional Director 574-234-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |