| NPI | 1427560002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SWAN Owner/President 317-871-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-06-12 |