| NPI | 1316158983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BEEBE CEO 260-744-6145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 251X00000X Supports Brokerage | |
| 252Y00000X Early Intervention Provider Agency | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-07-07 |