| NPI | 1942960059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA STEVENSON Owner 317-654-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |