| NPI | 1497970552 |
|---|---|
| Other Name | MONTGOMERY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE NICOLE SMITH CEO 765-362-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2026-07-17 |