| NPI | 1689940678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY BRADLEY Finance 260-484-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2012-03-24 |