| NPI | 1417428400 |
|---|---|
| Doing Business As | SPA WOMEN'S MINISTRY HOMES |
| Entity Type | Organization |
| Authorized Contact | CARRIE ZICKEFOOSE Executive Director 574-522-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |