| NPI | 1639569478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GOLDSTEIN Operations Manager 812-406-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: IN 150117991) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |