| NPI | 1982879474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA M SHIVELY CEO/President 574-848-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |