| NPI | 1336799469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN WARD Paralegal 260-207-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2020-02-20 |