NPI | 1366868457 |
---|---|
Other Name | AWS-830 CARRICO |
Entity Type | Organization |
Authorized Contact | WILLIAM J SWISS President/CEO 260-744-6145 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2014-03-13 |
Last Update Date | 2014-03-13 |