| NPI | 1497236814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE THOMAS Director 317-900-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 251B00000X Case Management |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |