| NPI | 1891185849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD J JONES Executive Director 260-436-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |