| NPI | 1306737093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEXTER CROUCH CEO 317-945-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |