NPI | 1407166192 |
---|---|
Doing Business As | CTI DEVELOPMENTAL REHABILITATIVE SERVICES |
Entity Type | Organization |
Authorized Contact | LYDIA B OTIATO President 574-387-4049 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
Enumeration Date | 2010-10-14 |
Last Update Date | 2024-07-10 |