| NPI | 1851324750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE J MORTON Executive Director 765-449-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |