| NPI | 1376180273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HORN Chief Operations Officer 260-563-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2023-11-27 |