| NPI | 1639593247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY CAYLOR Executive Director 219-938-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IN 158404933 30246) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |