| NPI | 1972718773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J COCKRUM Executive Director 812-386-6312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |