| NPI | 1750713285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE R EDMONDS Regional Operations Director 317-777-0981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 75662) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2024-11-05 |