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 | 2020-08-22 |