| NPI | 1972607117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM L. DALTON CEO 317-281-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-09-09 |
| Last Update Date | 2020-03-04 |