| NPI | 1629533658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BANKS Chief Financial Officer 260-424-4908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 177F00000X Lodging | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2025-02-25 |