| NPI | 1326260688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAPO Executive Vice President 317-726-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-12-10 |