| NPI | 1962130187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA TOMLIN Chief Financial Officer 317-744-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |