| NPI | 1801107941 |
|---|---|
| Doing Business As | INDIANA MENTOR |
| Entity Type | Organization |
| Authorized Contact | AMANDA HECKELSBERG RICHEY New Services Program Supervisor 317-581-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |