| NPI | 1578177085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENECIA WILLIAMS CEO 219-433-6218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251V00000X Voluntary or Charitable | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |