| NPI | 1477643286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALLARD WIREMAN President 574-234-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-03-01 |