| NPI | 1407933716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HUDDLESTON CFO 765-966-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: IN 100229090) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IN 100233310) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IN 100233390) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IN 100233320) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IN 100229090) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-09-11 |