| NPI | 1497001366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM A ADEYANJU CEO 317-291-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |