| NPI | 1669906343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRBY REUTTER Psychologist 260-450-8986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 37448) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |