| NPI | 1699868893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MULLINS President/CEO 260-484-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IN 3001702900002) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: IN 3001702900002) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-02-14 |