| NPI | 1336002039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWANA MICHELLE BERRY Member 219-595-9018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-08 |