| NPI | 1417817982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA LATELY President 317-354-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |