| NPI | 1629870795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUEST HIGGINS Executive Director 765-810-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-04-30 |