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 |