| NPI | 1750851192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUNO O OKUJA Director 317-722-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |