| NPI | 1922821032 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRITTANY WHITLEY CEO 317-526-3161 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 
| Enumeration Date | 2024-11-06 | 
| Last Update Date | 2024-11-06 |