| NPI | 1750091013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUBUNMI SUSAN RAJI Vice President/Program Director 317-985-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-12-04 |