NPI | 1609127646 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY LEE MACON Executive Director 317-480-2949 |
Organization Subpart ? | No |
Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
Enumeration Date | 2012-10-01 |
Last Update Date | 2012-10-01 |