| NPI | 1538019104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE VENIS Assistant Director 765-894-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 177F00000X Lodging |
| 251B00000X Case Management | |
| 174200000X Meals | |
| Enumeration Date | 2026-02-02 |
| Last Update Date | 2026-07-06 |