| NPI | 1366965485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE DENISE SARGENT-SUAREZ Director Of Education 574-318-5684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |