| NPI | 1700134905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELILI O. FAKUNMOJU Counseling 317-291-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |