| NPI | 1417227984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENE CAMERON Executive Director 219-886-1320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |