| NPI | 1962371781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY TAYLOR President 317-748-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-10-31 |