| NPI | 1477063923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA GRAY CEO/Owner 317-854-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2018-03-27 |