| NPI | 1659847168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DAVIDSON Executive Director/Managing Member 317-426-5948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |