NPI | 1811206493 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILLA ANN DAVIS Director Of Operations 219-462-0513 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IN 16206793332195) |
Enumeration Date | 2010-09-30 |
Last Update Date | 2010-09-30 |