| NPI | 1346711348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW FOSTER President 260-333-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |