NPI | 1285105650 |
---|---|
Entity Type | Organization |
Authorized Contact | R BRUCE SCHUCKER Program Director 765-807-0009 |
Organization Subpart ? | No |
Primary Taxonomy | 177F00000X Lodging |
Additional Taxonomies | 251B00000X Case Management |
251K00000X Public Health or Welfare | |
Enumeration Date | 2018-12-11 |
Last Update Date | 2018-12-11 |