| NPI | 1619552684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BETH JONES CEO 317-610-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |