| NPI | 1528653086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNEY L BYNUM Owner 219-256-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 305S00000X Point of Service | |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2022-06-23 |