| NPI | 1396197919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHA ANN KACSOR Executive Director 260-489-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |