| NPI | 1659302461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ERMETI Executive Director 574-259-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IN 43714) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IN 43486) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IN 43738) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IN 42256) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IN 32231) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: IN 73718) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |