| NPI | 1659677839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN A HOUK Executive Assistant 317-745-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |