| NPI | 1629191713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE JONES Director Of Administration Owner 317-353-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: IN 200529410A) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2010-05-15 |