NPI | 1679068332 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELLE M BOWEN Vice President 812-946-3812 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
261QM0850X Clinic/Center, Adult Mental Health | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2018-06-26 |
Last Update Date | 2022-03-28 |