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 | 177F00000X Lodging |
Enumeration Date | 2019-02-04 |
Last Update Date | 2020-01-09 |