| NPI | 1598704694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C. VAN DYKE CEO 317-338-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2014-01-08 |